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15537

Evaluation of different physical parameters based on standard photon beam versus flattening filterfreein treatment cancer patients

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Last updated: 22 Jan 2023

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Abstract

cccc In radiotheraby, the purpose of using standard photon beam (Flattening Filter; FF) is to convert the forward peaked MV bremsstrahlung photon intensity into uniform intensity pattern for obtaining clinically acceptable beam profile. Recently a number of studies were carried out on existing medical linac by removing the flattening filter to produce the unflat photon beam and demonstrated their feasibility in the implementation of advanced radiotherapy techniques. Flattening Filter Free (FFF) beam have a fundamental physical parameter differences with respect to the standard filter flattened beams, making the generally used dosimetric parameters and definitions not always viable. In this concern, the current paper is a trial to shed further light on studying some dosimetric parameters for use in quality assurance of FFF beams generated by medical linacs in radiotherapy. The main characteristics of the photon beams have been analyzed using specific data generated by a Varian TrueBeamlinac having bothFFF and FF beams of 6 and 10 MV energy. Definitions for dose profile parameters are suggested starting from the renormalization of the FFF with respect to the corresponding FF beam. From this point the flatness concept has been translated into one of “unflatness" and other definitions have been proposed, maintaining a strict parallelism between FFF and FF parameter concepts. In summary, although there are a number of advantages of using a FFF beam especially for advanced radiotherapy techniques there are a few challenges (e.g., criteria for beam quality evaluation and penumbra, establishment of dosimetry methods, and consequences of photon target burn-up) which need to be addressed for establishing this beam as an alternate to the FF beam.    

DOI

10.21608/jsrs.2016.15537

Keywords

Flattening filter free, beam and flattening filter, breast cancer, treatment planning, beam characteristics and multi-leaf collimators

Authors

First Name

Aly

Last Name

Abdelaty

MiddleName

Wagdy

Affiliation

B.Sc. in Physics, El-Mansoura University, Radiotherapy Department Elgalaa Hospital

Email

phy_alywagdy@yahoo.com

City

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Orcid

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First Name

A.

Last Name

EL-Shershaby

MiddleName

M.

Affiliation

Physics Department,Women Faculty for Arts, Science, and Education, Ain -Shams University

Email

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City

-

Orcid

-

First Name

H.

Last Name

Ashry

MiddleName

A.

Affiliation

National Center for Radiation Research and Technology, Atomic Energy Authority

Email

-

City

-

Orcid

-

First Name

K.

Last Name

EL-Shahat

MiddleName

M.

Affiliation

Medical Radiation Biophysics, Faculty of Medicine, Al-Azhar University

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Volume

33

Article Issue

part1

Related Issue

2880

Issue Date

2016-09-01

Receive Date

2018-10-01

Publish Date

2016-09-01

Page Start

171

Page End

183

Print ISSN

2356-8364

Online ISSN

2356-8372

Link

https://jsrs.journals.ekb.eg/article_15537.html

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https://jsrs.journals.ekb.eg/service?article_code=15537

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Journal

Publication Title

Journal of Scientific Research in Science

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https://jsrs.journals.ekb.eg/

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Article

Created At

22 Jan 2023